Suprapubic Catheter Care FAQs and Tips

1) What should I do if my suprapubic catheter is not draining properly?

Start with the simplest solution and check to make sure that your tubing is free from any kinks that may stop urine flow into the drainage bag. If it is free of kinks, then you may have a blockage and irrigating your suprapubic catheter is the next step. If that does not work, call your doctor.

2) What if I notice blood and clots in my urine?

If you discover blood or clots in your urine, then suprapubic catheter irrigation is in order. This procedure allows for the clearing and cleaning of the entire device and lessens the chances of blockage, infection, and clotting. It’s best to irrigate your device once a day.

3) What if I tried to irrigate my suprapubic catheter but it was resistant?

If you find at first that your device is resistant to suprapubic catheter flushing or irrigation, you should attempt the procedure once again. You may want to try using a little extra pressure if utilizing a syringe in the process. However, do not try to force irrigation. If you cannot properly irrigate or flush the device, then contact you doctor immediately to avoid any other suprapubic catheter complications.

4) What should I do if the connective area of my drainage tube is leaking?

Disconnect the tubing, and in doing so make sure that you plug the urine flow. Using sterile alcohol wipes, clean both connecting areas and try to reattach the tubing, ensuring that the connection is secure. If the tubing cannot be secured properly, then have it replaced.

5) What are signs of infection associated with a suprapubic catheter?

One of the most common suprapubic catheter complications is infection. An infection is a serious issue and you must contact your health care professional if you suspect you may have one. Signs of infection include the area around the incision being hot or extremely red, swelling and/or pus in the area, and increasing pain. A developing fever, nausea, and disorientation may also be experienced. Foul smelling and/or cloudy urine are also associated with infection.

6) How often should my suprapubic catheter be changed?

Suprapubic catheter change is a common procedure, which may be performed by the patient who has been trained in the process or a friend or relative. The amount of time between removal and replacement varies depending upon the type and size of catheter being used, how well it is maintained, and any complications that may develop. On average, catheters are replaced every 4 to 6 weeks.

7) Should I be concerned about leakage around my catheter?

Leakage that is ongoing or persistent may require some troubleshooting that focuses on the various connections that comprise the drainage system. However, urine leaking around the catheter may happen if one has been sitting for a length of time, or if one is involved in a bowel movement, or when bladder spasms occur. This situation will pass, and it may be improve through repositioning of the leg bag or alteration of the drainage tubing.

8) When should I contact my doctor or other medical professional?

Contact your physician or appropriate health care professional concerning your suprapubic catheter if your urine is slow in voiding or stops voiding, if you notice signs of infection, blockage, or clotting that you cannot alleviate, or if you have questions concerning maintenance or daily care. Contacting your doctor sooner than later will help to prevent suprapubic catheter complications.